SC_16-26_ Vitello (2)

Issued by WiRO SC16-26
Surf City Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT Coastal Management
ENVIRONMENTAL QUALITY
as authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission for development in an area of environment
concern pursuant to Section 113A-118 of the General Statutes, "Coastal Area
Management"
Issued to John Vitello authorizing development in the Ocean Hazard (AEC) at 2614 S. Shore Drive, in Surf City,
Pender County as requested in the permittee's application, dated October 24, 2016, and received by DCM on October
26, 2016. This permit, issued on November 7, 2016, is subject to compliance with the application and drawing dated
and received by DCM on October 26, 2016 (where consistent with the permit), all applicable regulations and special
conditions and notes set forth below. Any violation of these terms may subject the permittee to a fine, imprisonment or
civil action, or may cause the permit to be null and void.
This permit authorizes: Deck and beach access walkway replacement.
(1) All proposed development and associated construction must be done in accordance with the permitted site drawing dated
received by DCM on October 26, 2016.
(2) All construction must conform to the N.C. Building Code requirements and all other local, State and Federal regulations,
applicable local ordinances and FEMA Flood Regulations.
(3) Any change or changes in the plans for development,construction, and/or land use activities will require re-evaluation and
modification of this permit.
(4) A copy of this permit shall be posted or available on site throughout the construction process. Contact this office at(910)
766-7221 for a final inspection at completion of work.
(Additional Permit Conditions on Page 2)
This permit action may be appealed by the permittee or other qualified persons
within twenty (20) days of the issuing date. This permit must be on the project
site and accessible to the permit officer when the project is inspected for Jason Dail
compliance. Any maintenance work or project modification not covered under MA LOCAL PERMIT OFFICIAL
this permit,require further written permit approval.All work must cease when this RECEIVED
permit expires on: DCM WILMINGTON,IV Cardinal Drive Extension
December3l,2019 Wilmington, NC 28405-3845
NOV 21 2016
In issuing this permit it is agreed that this project is consistent with the local Land
/ 5/1
Use Plan and all applicable ordinances. This permit may not be transferred to
another party without the written approval of the Division of Coastal PERMITTEE
Management.
(Signature required if conditions above apply to permit)

Name: John Vitello
Minor Permit#SC16-26
Date: November 7, 2016
Page 2 of 3
(5) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective
sedimentation and erosion control measures. Disturbed areas shall be vegetated and stabilized (planted and
mulched)within 14 days of construction completion.
(6) The permittee is required to contact the Local Permit Officer [phone], shortly before he plans to begin
construction to arrange a setback measurement that will be effective for sixty (60) days barring a major shoreline
change. Construction must begin within sixty (60) days of the determination or the measurement is void and must
be redone.
(7) Any structure(s) constructed within the Ocean Hazard area shall comply with the NC Building Code, including the
Coastal and Flood Plain Construction Standards of the N. C. Building Code, and the Local Flood Damage
Prevention Ordinance as required by the National Flood Insurance Program. If any provisions of the building code
or a flood damage prevention ordinance are inconsistent with any of the following AEC standards, the more
restrictive provision shall control.
(8) No development is authorized beyond (seaward of) the First Line of Stable Natural Vegetation (FLSNV), with
exception of the stairs for beach access.
(9) The authorized deck shall not exceed a footprint of 500 sq. ft. and shall be structurally independent of the existing
residence.
(10) All buildings shall comply with the NC Building Code, including the Coastal and Flood Plain Construction Standards
of the N. C. Building Code, and the Local Flood Damage Prevention Ordinance as required by the National Flood
Insurance Program. If any provisions of the building code or a flood damage prevention ordinance are inconsistent
with any of the following AEC standards, the more restrictive provision shall control.
(11) Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third-party.
SIGNATUR . DATE:
PERMITTE
RECEIVED
DCM WILMINGTON,NC
Nov 21 2016

Locality 5(/ �/r y Permit Number o — '`-40
Ocean Ilazard X Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(For official use only)
}
GENERAL INFORNIATION
LAND OWNER-MAILING ADDRESS
Name jo1iN V t re-Ll .Q_
Address S 9 O 9 14 a e rts 5t'
City f goo- 7.1 t y _ State A Z. Zip 5e>UePhone (Lei2) 22 — La Le
Email �c��w! V 5-c/C, es"'1
AUTHORIZED AGENT
Name kc,ze- l 5/7.7 rTi-I
Address c -7 ' _ O c i
City N&e t.Y 1;2 to&—t State N G Zipo213'14S-Phone C9(0) g/ —/
Email Lts.e.16" S nfrit oM$r e on014 Ac5C .Gc•m
LOCATION OF PROJECT:(Address,street name and/or directions to site;name of the adjacent waterbody.)
o't.1v_ t.y 5 , s tksR e- pie t s v!>'�- �-�'T i I-i L .2 1;z_c/cf S
Tc4y,t •T i C C RAJ
DESCRIPTION OF PROJECT: (List all proposed construction and land distrbance.) __f2�eel•C&
Y t`v- t t !-IC: f IC r4D cv.¢c tC vc)672- •
SIZE OF LOT/PARCEL: 9,137 square feet b• a ._. acres
PROPOSED USE: Residential (Single-family 0 Multi-tinnily (] ) Commercial/Industrial 0 Other []
COMPLETE EITHER(1)OR(2) BELOW(Contact your Local Permit Officer i/.rou are not sure which AEC applies
to your property):
(1) OCEAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: 5'63 square feet(includes
air conditioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but
excluding non-load-bearing attic space)
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: square feet(includes the area of the foundation of all buildings,driveways,covered decks,
concrete or masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing.)
RECEIVED
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a SUM WILMIN(3'I'ON,NC
Stormwater Management Permit issued by the NC Division of Energy,Mineral and Land Resources(DEMLR)?
YES No OCT 26 2016

OTHER PERMITS MAY 1W REQUIRED:The activity you are planning may require permits other than the CAMA
minor development permit,including,but not limited to:Drinking Water Well,Septic Tank(or other sanitary waste
treatment system),Building,Electrical,Plumbing,Heating and Air Conditioning, insulation and Energy Conservation,FIA
Certification,Sand Dune,Sediment Control,Subdivision Approval,Mobile I-tome Park Approval,I iighway Connection,and
others.Check with your Local Permit Officer for more information.
STATEMENT OF OWNERSHIP:
I,the undersigned,an applicant for a CAMA minor development permit,beingeither the owner of property in an AEC or a
g pP p [ p Y
person authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the person
listed as landowner on this application has a significant interest in the real property described therein.This interest can be
described as:(check one)
an owner or record title,Title is vested in name of ,
see Deed Book page in the P� County Registry of Deeds.
an owner by virtue of inheritance.Applicant is an heir to the estate of
;probate was in County.
if other interest,such as written contract or lease,explain below or use a separate sheet& attach to this application.
NOTIFICATION OF ADJACENT RIPARIAN PROPERTY OWNERS:
I furthermore certify that the following persons arc owners of properties adjoining this property. i affirm that i have given
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
(Name) (Address)
(l) 76-ieesA ,Y1 c 11.4<<7, Pc Lac 3109 3 a .&F tar
(2) Sibe z p LY l Ss5 C.&r2re,nrNO O . APEIC rlc 2-7525
(3)
(4)
ACKNOWLEDGEMENTS:
i,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
may be susceptible to erosion and/or flooding. I acknowledge that the Local Permit Officer has explained to me the particu-
lar hazard problems associated with this lot.This explanation was accompanied by recommendations concerning stabiliza-
tion and floodproofing techniques.
I furthermore certify that I am authorized to grant,and do in fact grant,permission to Division of Coastal Management stall',
the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
related to this permit application.
This the :$2-4 day of el,CC ,20 l V2
Landowner or person authorized to act as his/her agent for purpose of filing a CAMA permit application
This application includes:general information(this form), a site drawing as described on the back of this application, the
ownership statement, the Ocean Hazard AEC Notice where necessar j; a check for$100.00 made payable to the locality,and
any information as may be provided orally by the applicant. The details of the application as described by these mitres are
incorporated without►eference in any permit which may be issued. Deviation from these details will constitute a violation of
any permit.Any person developing in an AEC without permit is subject to civil,criminal and administrative actioiRECEIVEC)
DCM WILMINGTON. ntr-
t)f T ') R gnu

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
BRAXTON DAVIS
Coastal Management Director
ENVIRONMENTAL QUALITY
November 7, 2016
Mr. John Vitello
5409 N. 26th Street
Phoenix, AZ 85016
Dear Mr. Vitello:
Attached is CAMA Minor Development Permit# SC16-26, for work to be done at 2614 S. Shore
Drive, Surf City, Pender County. An electronic copy of the permit has been sent to the Surf City
Inspections Dept., and to your agent.
In order to validate this permit, please sign both copies of the permit as indicated for our
records. Please retain the orange copy for your files, sign both pages of the white copy, and
return to us within 20 days of receipt, in the enclosed, self-addressed envelope.
This is not a valid permit until it is signed and returned to our office.
Thank you for your prompt attention to this matter.
Sincerely,
Shaun K. Simpson
Permit Support Technician
Enclosures
Cc: WiRO files
SC Inspection Dept.
Loren J. Smith, Agent
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405

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1 ,,-- CANIA PERMIT
APPLIED FOR
PRC�JEO: - g deck and
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APPLICANT FOR MORE DETAILS CONTACT
at THE LOCAL PERMIT OFFICER BELQW:
John Vitello NC Div. of Coastal Management
5409 N. 26t" Street - 127 Cardinal Dr. Extension
Phoenix, AZ 85016 Wilmington, NC 28405
Jason Dail, Field Representative
910-796-7221
Agent: Loren J. Smith [phone]
SC 16-26

- LEGEND- 9A
r
�°
SIR-±'2"Set Iron Rod i
EIP-Existing Iron Pipe ri ,
U¢\0 EPK-Existing Parker Kalon Nail W �
CP-Calculated Point
RIW-Right-of-Way r M41 54
d MBL-Minimum Building Line Ng,
DB-Deed Book •
NIB-Map Book
PG-Page SITE
WM-Water Meter
PP Power Pole
VICIN1r7'YMAP: NTS
-NOTES-
1. This plot plan Is of an
existing parcel of land.
2. Subject to rest ictNe R/W
w.terant.,seserren-ac:al' ---—
record,zoning ordinance,&
underground utilities,if any.
3. No title search by surveyor.
4. References;MS 15,PG 40
DB 4130,PG 24
5, Flood Zone-VE-Surf City S SHORE DRIVE
Community Panel#370188 4223 J
S. Zone.� 60' PUBLIC II
Setbacks:
Front-15'
Side-7.8'
Rear-20'
EPK N44'24'12'E 75.00' a ��
SIR R/W
N44'24'12'E 63.55' WM WM i
EIP W�
I------- ---- tg. M-
_ 3.?
60'CASA SETBACK d
1
EXISTING RESIDENCE a j
z
—.
J SHIRLEY E. DANUDKI
LI
") EXISTING r'v DB 4604, PG 2378
o StED TO
tU REMAIN /' / • f N
1111� //////i////N oO
< -
/ /�/ / 7r.L.__.
ri
TERESA MCNALLY LL EXISTING t12.5'x24.3' ,- /�^
u EXISTING // ij, UNCOVERED DECK AND t \....41.-t V C Q
DB 4037, PG 113 LA
c t4' VIDEN u1 WALKWAY TO BE REMOVE
PLATFORM b AND REPLACED. CONTRA@ ILMlNGTON, NC
r°r TO REMAIN // 3 c SHALL MAINTAIN EIZISTI
/ r� FOOTPRINT. HATCHING
LTOP CW DUNE1 DESIGNATES AREA OF (( T A `J 6 2O1C
// BEDSREMOVED ANTING D REPLACE (�
FIRST LINE IT VEGETATION
/
LOT 22 4-
0.21 ACRES
TOE OF DUNE
— — CP S44'24'12'W 75.00'
CP �—
ther.umuLLaisasamulaust
LOT AREA. 9,357 Sr <0.21 AC)
EXISTING RESIDENCE I,056 SF
ATLANTIC OCEAN
(INCL. EAVE)
TOTAL IMPERVIOUS COVERAGE. 1.056 SF <11.3X>
0
(EXISTING TO REMAIN)
30- 15 30 60 EXISTING STRUCTURES ENCROACHING 60' CANA SETBACK'
EXISTING RESIDENCE, 935 SF

10/6/2016 AOL Mail
OCEAN HAZARD AEC NOTICE
Project is in an: Ocean Erodible Area High Hazard Flood Area Inlet Hazard Area
Property Owner: —7 Y
! u L
Property Address: ') (. / l7' ( 0,•-.9.....7
Date Lot Was Platted:
This notice is intended to make you, the applicant,aware of the SPECIAL NOTE: This hazard notice is required for
special risks and conditions associated with development in this development in areas subject to sudden and massive storms and
area,which is subject to natural hazards such as storms,erosion erosion. Permits issued for development in this area expire on
and currents. The rules of the Coastal Resources Commission December 31 of the third year following the year in which the
require that you receive an AEC Hazard Notice and permit was issued. Shortly before work begins on the project
acknowledge that notice in writing before a permit for site,the Local Permit Officer must be contacted to determine the
development can be issued. vegetation line and setback distance at your site. If the property
has seen little change since the time of permit issuance.and the
The Commission's rules on building standards, oceanfront proposed development can still meet the setback requirement,
setbacks and dune alterations are designed to minimize, but not the LPO will inform you that you may begin work. Substantial
eliminate, property loss from hazards. By granting permits, the progress on the project must be made within 60 days of this
Coastal Resources Commission does not guarantee the safety of setback determination,or the setback must be re-measured.Also,
the development and assumes no liability for future damage to the occurrence of a major shoreline change as the result of a
the development. Permits issued in the Ocean Hazard Area of storm within the 60-day period will necessitate re-measurement
Environmental Concern include the condition that structures be of the setback. It is important that you check with the LPO
relocated or dismantled if they become imminently threatened before the permit expires for official approval to continue the
by changes in shoreline configuration. The structure(s)must be work after the permit has expired. Generally, if foundation
relocated or dismantled within two (2) years of becoming pilings have been placed and substantial progress is continuing,
imminently threatened, and in any case upon its collapse or pemut renewal can he authorized. It is unlawful to continue
subsidence. work after permit expiration.
The best available information,as accepted by the Coastal For more injonnalion.coniucr:
Resources Commission, indicates that the annual long-term •average ocean erosion rate for the area where your property is . J Ci J—.) -t (—
located is feet per year.
Local Permit Officer
The rate was established by careful analysis of aerial
photographs of the coastline taken over the past 50 years.
N.C. Dept. of Environmental Quality
Studies also indicate that the shoreline could move as much as Division of Coastal Management
feet landward in a major storm. 127 Cardinal Drive Extension
The flood waters in a major storm are predicted to be about Wilmington, NC 28405-3845
feet deep in this area.
Preferred oceanfront protection measures are beach nourishment 9/C -4
: '1 -
and relocation of threatened structures. Hard erosion control ``11(, — 7 ,,2)- 7- /
i
structures such as bulkheads,seawalls,revetments,groins,jetties Phone Number
and breakwaters are prohibited. Temporary sand bags may be
authorized under certain conditions.
The applicant must acknowledge this information and
requirements by signing this notice in the space below.Without
the proper signature,the application will not be complete.
._c7 7-- '''
4
. ,. -
Prog�rty Owner Signature Date
Revised tApy 2010
RECEIVED
0CM WILMiNGTON,NC
OCT 2 6 2016

ream],zoning ordinance,&
underground utilities,if any.
3. No title search by surveyor.
4. References;Mb 15,PG 40
DB 4130,PG 24
5. Flood zone-VE-Surf city S SHORE DR I V E
Community Panel#370186 4223 J
6. Zone-Rb 60' PUBLIC RAW
Sets:
Front-15'
Skie-7.5'
Rear-20'
EPK N44'24'12'E 75.00' ��
SIR RA/
N44'24'12'E 63.55' MM VM
EIP W)
z
---- si
I
7- i
•
60'CAMA SETBACK i
EXISTING RESIDENCE T. �.j
A �, SHIRLEY F. DANUDKI
to EXISTING ro DB 4604, PG 2378
o REED To
tU -
A REMAIN // / / / /
CO - ////////// A
/ / / / / // ., m
TERESA MCNALLY N ri
/ / ,� / EXISTI =12sx24.s
EXIST' �. UNCOVER)• DECK AND
DB 4037, PG 113 o u 34' yt f1� WALKWAY OBE REMOVED
= PLA• r.-. = 6 ,N AND REPLA ED. CONTRACTOR
to
r- TO '. IN / Os CZ SHALL MAI AIN EXISTING
ill
FOOTPRINT. ATCHING
_ TOP OF DUNE 1 DESIGNATES AREA OF
/I,,'r EXISTING • CK/VALKWAY TO
�%i BE REMOV I AND REPLACED.
FIRST l\fl122
F VEGETATION — — — —1.2
'
0.21 CRES
-
TOE or Dui .
Ng— — — — —
Cp S44'24'12'W 75.00'
CP
IMPERVIOUS LOT CALCULATIONS.
LOT AREA. 9,357 SF (021 AC)
EXISTING RESIDENCE. 1,056 sr
ATLANTIC OCEAN
TINGEtict.. EAVE)
TOTAL IMPERVIOUS COVERAGE' 1.056 SF(11.37.)
(EXISTING TO REMAIN)
30. 15 0 30 60 EMS TING STRUCTURES ENCROACHING 60' CAN A SETBACK.
INONN_ innimmoolmmoom RECEIVED EXISTING RESIDENCE. 935 SF
GRAPHICFORM 503 SF
SCALE DCM WILMINGTON,NCEXISTINNGG VVALLKKVA�Y.TI
EXISTING SHED. 32 SF
NORTH CAROi.INA TOTAL EXISTING 1S76 SF
FENDER COUNTY
OCT 26 2016 (ENCROACHING SETBACK)
TOTAL ALLOWABLE VITHIN 60' SETBACK.500 SF
I,WESTON LYALL,PROFESSIONAL LAND SURVEYOR NUMBER
L-4438,CERTIFY THAT THIS PLOT PLAN WAS DRAWN UNDER
MY SUPERVISION FROM AN ACTUAL GPS SURVEY MADE 5399SJ DECK/WALKWAY TO REMOVED AND
UNDER MY SUPERVISION FROM (DEED BOOK 4130,PAGE REPLACED. t399SF
24)AND THE FOLLOWING INFORMATION WAS USED TO
PERFORM THE SURVEY: CLASS OF SURVEY:B;POSITIONAL SURVEY FOR
ACCURACY:500 RMS;TYPE OF CPS FIELD PROCEDURE:
VRSRTKGPS;DATUM:NAD83"2007",NAV089;GERM)MODEL: LOREN Jo SMITH CONSTRUCTION
GEOID 03;COMBINED GRID FACTOR:0.9999799;UNITS:US
SURVEY FEET;THIS IS A SURVEY OF AN EXISTING PARCEL OR LOT 22 S SHORE DRIVE
PARCELS OF LAND AND DOES NOT CREATE AAteitTNEET OR CHANNELBEND SUBDIVISION
CHANGE AN EXISTING STREET. ♦ti;`Ake CAR°/�`�'ifo
`*� ( ......err.., O,,y SURF CITY, NC
' ��y �pFSblpf J`�r,, $CALE1 1'a 30 TOPSAIL TOWNSHIP, FENDER COUNTY OCT.21,201E
S
IJ/21��
`E,
1Z/likil y a� i -" .x{ + WESTON LYALL, PE PLS PLLC
vim lisi U. - e;
214 HIGHWAY 17N SUITE 1
REGISTRATION NUMBER L-44381w'` e• .�i'.`�c.^�r�*<i`,t. PHONE;B1HOLLY IDGE,NC 284435
RM LICENSE#P 0937

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
JOHN P VITELLO
Name of Property Owner Requesting Permit:
Mailing Address: 5409 N 26TH ST PHOENIX,AZ 85016
602-321-9150
Phone Number:
[e-mail]
Email Address:
I certify that I have authorized _L:2674 3 ' 771
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: RE PA K <^t=
YIs iNL .D LK >trl0 ii ( t?S
at my property located at a-ta L y 5 . Sric-2c p2,, 6vRiL c, i`r r+c
in "tfErIO Q County.
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
10/01/2016
JOHN P VITELLO
Print or Type Name
Title
09 I 30 /2016
Date
This certification is valid through % / U /
RECEIVED
DCM WILMINGTON,NC
OCT 26 20%

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Receipts for
Certified Mail
(Staple Here)
Ic —/Co
Date
Adjacent Property Owner
pc.:, g 36,c 3
Mailing Address
City, State,Zip Code
Dear Adjacent Property:
This letter is to inform you that I, .Tc#.4 rl .i r't€cc t' have applied for a CAMA Minor
Property Owner
Permit on my property at 0-L t i , 5tt c Q1, S jg c_,T� _ , in PenderlOnslow
Property Address
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s)as notification of my proposed project. No action is required from you or you may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project, please
contact me at (Le"3) 52,2 — Z ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the Surf City CAMA Minor Permit Program,you may submit
them to:
Jason Dail, Field Representative
NC Division of Coastal Management
Town of Surf City Local Permit Program
127 Cardinal Drive Extension
Wilmington, NC 28405
Sincerely,
Jvr'(N U rez-c,v
Property Owner
Mailing Address
P k e r! \x• A2, RECEIVED
City, State,Zip Code OCM WILMINGTON,NC
OCT 2 6 2016

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0 Street and Apt.No.,or Ps'8 14oz No.
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A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
I Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt to the
r A record of delivery(Including the recipients retail associate.
signature)that is retained by the Postal Service'" -Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent.
rnportant Reminders: -Adult signature service,which requires the
I You may purchase Certified Mail service with signee to be at least 21 years of age(not
First-Class Mail°,First-Class Package Service°, available at retail).
or Priority Mail°service. -Adult signature restricted delivery service,which
r Certified Mail service is not available for requires the signee to beat least 21 years of age
international mail. and provides delivery to the addressee specified
I Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent
with Certified Mail service.However,the purchase (not available at retail).
of Certified Mail service does not change the IN To ensure that your Certified Mail receipt is
insurance coverage automatically included with accepted as legal proof of mailing,it should bear a
certain Priority Mail items. LISPS postmark.If you would like a postmark on
I For an additional fee,and with a proper this Certified Mail receipt,please present your
endorsement on the mailpiece,you may request Certified Mail item at a Post Office'for
the following services: postmarking.If you don't need a postmark on this
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electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records.
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Receipts for
Certified Mail
(Staple Here)
�►o—may—nat,
Date
5#4 a t ci t7A-f4
Adjacent Property Owner
MailingAddress
Af ) NC 3 29
City,State,Zip Code
Dear Adjacent Property:
This letter is to inform you that I, .6 0444 tr `ii'EZ c.C' have applied for a CAMA Minor
Property Owner
Permit on my property at o2te.t S _ S i5.,REf S t;aQ F c t rr ,in Pender/Onslow
Property Address
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s)as notification of my proposed project. No action is required from you or you may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project,please
contact me at ��02) S a Z — 021.010 2,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the Surf City CAMA Minor Permit Program,you may submit
them to:
Jason Dail,Field Representative
NC Division of Coastal Management
Town of Surf City Local Permit Program
127 Cardinal Drive Extension
Wilmington, NC 28405
Sincerely,
go ld rl U t r
Property Owner
5 5Fo i rl . 21.. S F"
Mailing Address
I'(4 c'E!4 )' ft Z OCM W EMEND Ma . F
ION
City, State,Zip Code
OCT 2 6 9'

SITE DRAWING/APPLICATION CHECKLIST
Please make sure your site drawing includes the following information required for a CAMA minor development permit.
The Local Permit Officer will help you, if requested.
PHYSICAL DIMENSIONS
1/Label roads
t/ Label highways right-of-ways
-Label local setback lines
Label any and all structures and driveways currently existing on property
i— Label adjacent waterbody
PHYSICAL CHARACTERISTICS
Draw and label normal high water line(contact LPO for assistance)
Draw location of on-site wastewater system
If you will be working in the ocean hazard area:
✓Draw and label dune ridges(include spot elevations)
Draw and label toe of dunes
Identify and locate first line of stable vegetation(contact LPO for assistance)
Draw and label erosion setback line(contact LPO for assistance)
Draw and label topographical features(optional)
If you will be working in a coastal shoreline area:
✓Show the roof overhang as a dotted line around the structure
Draw and label landward limit of AEC
1-- Draw and label all wetland lines(contact LPO for assistance)
Draw and label the 30-foot buffer line
DEVELOPMENT PLANS
Draw and label all proposed structures
t✓ Draw and label areas that will be disturbed and/or landscaped
'Note size of piling and depth to be placed in ground
"94 Draw and label all areas to be paved or graveled
1/ Show all areas to be disturbed
r1 14 Show landscaping
NOTE TO APPLICANT
•
Have you:
• completed all blanks and/or indicated if not applicable?
• notified and listed adjacent property owners? RECEIVED
• included your site drawing? DCM WILMINGTON,NC
• signed and dated the application? OCT 2 6 2016
• enclosed the$100.00 fee?
• completed an AEC Hazard Notice, if necessary?(Must be signed by the property owner)
,.,, a " 4ICr► yj; • FOR STAFF USE
z Site Notice Posted Final Inspection Fee Received
.Site Inspections
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